The PSSST can also be used to ligate a bleeding superior or inferior epigastric artery through which a port has been inadvertently passed.

The PSSST is inserted through the port site and the dotted orientation line placed to one side of the bleeding point. The needle and suture is inserted into the abdominal cavity and the needle withdrawn. The trocar is rotated so the dotted line lies at the other side of the bleeding point and the needle reinserted to retrieve the end of the suture. Tying of this suture will then occlude the vessel. The bleeding point at the other side of the port site will require ligating in the same way.